Question 1: how critical is food with Xeloda and how much food is really needed?
Question 2: What's with the "don't exercise after taking" instructions... and is 30 min enough time after taking to address this?
It's been 6 months since I was last here. Ended my 12th round of FolFox in April with my CEA down to 8. But it's time to restart Chemo as my CEA is climbing back again -- now in the 600's. This time the regiment will be an Avastin IV (in office) followed by 1500mg of Xeloda taken every 12 hours (at home) for 14 days. Then 7 days to recover. Repeat.
My question is about the Xeloda. Trying to figure out how to follow the "eat 30 min before taking" rule and the "don't exercise after taking" rule has me scratching my head. I'm supposed to take this in "exactly" 12 hour intervals. Now, I don't eat breakfast -- have not in over 40 years. I play pickleball most days between 9 and noon; eat lunch between noon and 1pm and dinner between 6 and 7pm. So I guess that means:
- 8:00am -- get up and eat "something?" (so much for sleeping in -- EVER!)
... kill 30 min "waiting"
8:30am -- take Xeloda
... 30 min drive to pickleball courts,
9:00-noon -- pickleball,
... 30 min drive home
12:30pm -- lunch & supplements
7:00pm -- dinner & supplements
8:00pm -- eat "something?"
... kill 30 min "waiting" (easier to do here than in the morning)
8:30pm -- take Xeloda
Midnight -- sleep
I'm very structured with what and when I eat (I do not snack). Keto/Carnivore diet (less than 20g of Total Carbs per day). I'm concerned that putting food on my stomach 4 hours before it's used to it is going to cause issues. On those rare occasions I have something to eat in the morning, my stomach is not happy with me (long before I got the Cancer) and I'm lethargic (not good for playing pickleball). Right now, the only plan would be to drink a Keto Shake, but is that enough food for the Xeloda interaction?
Thx in advance for your thoughts on this.